Fraud and Abuse Cases
To learn about real-life cases of Medicare fraud and abuse and the consequences, check out the Enforcement News items, located on lower portion of the U.S. Department of Health & Human Services and the U.S. Department of Justice Stop Medicare Fraud Newsroom web page.
Health Professional Shortage Area (HPSA)/Primary Care Incentive Payment Program (PCIP)/HPSA Surgical Incentive Payment Program (HSIP) Incentive Payments
WPS Medicare would like to remind providers that the remittance notice for the Health Professional Shortage Area (HPSA), Primary Care Incentive Payment Program (PCIP), and HPSA Surgical Incentive Payment Program (HSIP) incentive payments is not available in electronic format. This special remittance is issued in paper format for all providers and will arrive between 7-10 following the incentive payment date.
Electronic Remittance Advice (ERA) - Go Green! More Efficient!
If your office still receives Standard Paper Remittance (SPR) now is a great time to switch to ERA. Using ERA saves time and increases productivity by providing electronic payment adjustment information that is portable, reusable, retrievable, and storable. Trading partners can exchange the ERA with much greater ease than an SPR. Switching from receiving SPRs to ERAs can be fast, safe, and easy by contacting the WPS Medicare EDI department at (866) 518-3285 to establish Electronic Data Interchange (EDI) capabilities.
For information about the availability of auxiliary aids and services, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html
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